GGR Reference Form

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GGR Reference Form

Thank you for taking the time to complete this reference form and for investing in our gCLE Internship/Residency Program! Please answer each question as thoroughly and thoughtfully as you can. Please provide us accurate contact information as well, as we may decide to contact you to discuss your recommendations further. Thank you for your willingness!

Email *

Name of Applicant *

First and Last Name

Your Name *

Your Email *

Preferred phone number *

Best way to get in contact with you: *

Phone

Other:

How long have you known the applicant? *

What is your relation to the applicant? *

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